Active NPI
Eiger Branch, LLC
Doing business as Orthopedic Outpatient Center
- Ambulatory Surgical Clinic/Center
- Medford, OR
National Provider Identifier
1568187979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- EIGER BRANCH, LLC
- Doing business as
- Orthopedic Outpatient Center
- Practice address
- 577 Airport Road
Medford, OR 97504-9750 - Phone
- (541) 608-2590
- Fax
- (541) 608-2535
- NPI assigned
- Oct 7, 2022
- Last updated
- Dec 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy Spohn
- Title
- Administrator
- Phone
- (360) 420-5969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
577 Airport Road
Medford, OR 97504-9750
Mailing address
2780 E Barnett Rd Ste 200
Medford, OR 97504-8674
Phone (541) 779-6250
Other names 1
- Orthopedic Outpatient Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230426000479 | OR | Part B Supplier - Ambulatory Surgical Center | 1850756818 | Practice locations: Medford, OR |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Eiger Branch LLC Dba Orthopedic Outpatient Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2275763 | Eiger Branch, LLC | Certificate of waiver | Jan 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
577 Airport Rd
Medford, OR 97504
Phone (541) 608-2460
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Medford, OR
- NPI 1396069811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670371200000",
"number": "1568187979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 E BARNETT RD STE 200",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048674",
"telephone_number": "541-779-6250",
"fax_number": "541-608-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "577 AIRPORT ROAD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049750",
"telephone_number": "541-608-2590",
"fax_number": "541-608-2535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EIGER BRANCH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-07",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A",
"authorized_official_last_name": "SPOHN",
"authorized_official_first_name": "TAMMY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "360-420-5969"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orthopedic Outpatient Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.